Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark; Department of Oral and Maxillofacial Surgery and Oral Pathology, School of Dentistry, Health, Aarhus University, Aarhus, Denmark.
Int J Oral Maxillofac Surg. 2013 Nov;42(11):1403-8. doi: 10.1016/j.ijom.2013.05.007. Epub 2013 Jun 15.
This study sought to evaluate the outcome of patients treated with fibula grafts for partial mandibular reconstruction and implant-supported prosthesis at a Danish university hospital. Patient inclusion criteria were: partial mandibular resection, reconstruction with a fibula graft, and treatment during the period 1998-2011. Patients with incomplete medical records were excluded. Thirty-six patients were included, of whom 16 were treated with an implant-supported prosthesis. Relevant presurgical, intraoperative, and postoperative parameters were registered. The fibula graft survival rate at the last follow-up (mean follow-up 22 months, range 0-89 months) was 97%. Half of the patients experienced non-severe complications such as loosening of osteosynthesis material, fistulae, and graft exposure. One of 37 fibula grafts in the 36 patients was removed due to infection. The implant survival rate was 96%; three of 67 implants were lost due to infection. Eight implants were not included in the prosthetic rehabilitation. Fibula graft surgery for mandibular reconstruction was found to be a reliable treatment modality with a high survival rate. Rehabilitation with implant-supported prostheses was characterized by high survival rates and few complications. The results obtained are comparable to those of previous studies.
本研究旨在评估在丹麦一所大学医院接受腓骨移植进行部分下颌骨重建和种植体支持修复的患者的治疗效果。患者纳入标准为：下颌骨部分切除术，腓骨移植重建，以及在 1998-2011 年期间接受治疗。排除病历记录不完整的患者。共纳入 36 例患者，其中 16 例接受了种植体支持修复。记录了相关的术前、术中及术后参数。末次随访时（平均随访 22 个月，范围 0-89 个月），腓骨移植存活率为 97%。一半的患者经历了非严重并发症，如内固定材料松动、瘘管和移植体暴露。36 例患者中有 1 例腓骨移植因感染而被取出。种植体的存活率为 96%；67 个种植体中有 3 个因感染而丢失。8 个种植体未纳入修复。下颌骨重建的腓骨移植手术是一种可靠的治疗方法，存活率高。种植体支持修复的康复特点是存活率高，并发症少。研究结果与以往研究相似。
